Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1114934031
Practice Locations (2)
VISIONARY MEDICAL SERVICES, PC
100 MICHIGAN AVE NE
GRAND RAPIDS, MI 495032560
6163911730
ECS WESTERN MICHIGAN PC
100 MICHIGAN AVE NE
GRAND RAPIDS, MI 495032560
6163911680
Source: CMS National Downloadable File, September 2026.